Information Collection Requirements in HSQ-108F Assumption of Responsibilities and Supporting Regulations in 42 CFR Sections 412.44, 412.46, 431.630, 456.654, 476.71, 476.73, 476.74, 476.78

ICR 200206-0938-002

OMB: 0938-0445

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0445 200206-0938-002
Historical Active 199901-0938-008
HHS/CMS
Information Collection Requirements in HSQ-108F Assumption of Responsibilities and Supporting Regulations in 42 CFR Sections 412.44, 412.46, 431.630, 456.654, 476.71, 476.73, 476.74, 476.78
Extension without change of a currently approved collection   No
Regular
Approved with change 08/14/2002
Retrieve Notice of Action (NOA) 06/07/2002
This information collection request is approved consistent with revised supporting statement provided on 08/13/02. This approval does not extend to the requirements in 431.630(b) or 476.78(b)(2) as they are approved separately under 0938-0359 through 03/2005.
  Inventory as of this Action Requested Previously Approved
08/31/2005 08/31/2005 08/31/2002
6,036 0 6,417
81,818 0 46,834
0 0 0

This rule establishes the review functions to be performed by the PRO. It outlines relationships among PROs, providers, practitioners, beneficiaries, intermediaries, and carriers.

None
None


No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,036 6,417 0 0 -381 0
Annual Time Burden (Hours) 81,818 46,834 0 0 34,984 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/07/2002


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